PMID: 9170478Jun 1, 1997Paper

Usefulness of a breakfast test in the management of women with gestational diabetes

Obstetrics and Gynecology
E Rey

Abstract

To assess the usefulness of a breakfast test in determining which women with gestational diabetes do not need self-monitoring of blood glucose levels (home monitoring). A 1-hour post-standardized breakfast blood glucose below 7.8 mmol/L (140 mg/dL) was measured in 227 women and at or above 7.8 mmol/L in 115. Within each group, women were randomized to home monitoring with a meter or to clinic follow-up. Target glucose values were 5.3 mmol/L (95 mg/dL) fasting, 5.6 mmol/L (101 mg/dL) before meals, and 7.8 mmol/L (140 mg/dL) 1 hour postprandial. Up to these thresholds women on clinic follow-up were transferred to home monitoring. Insulin therapy was started on the same thresholds in women randomized or transferred to home monitoring. Large for gestational age (LGA) newborns represented the main outcome, with the transfer rate to home monitoring and need of insulin therapy the secondary ones. The LGA delivery rate was not significantly different in the two follow-up groups in women with a breakfast result below 7.8 mmol/L (9.8 versus 4.3%) but was higher in the clinic follow-up among women with a breakfast result at or above 7.8 mmol/L (13.3% versus 30.9%; P < .05). Fewer women with a breakfast result below 7.8 mmol/L were transfe...Continue Reading

References

Dec 11, 1991·Diabetes·M GoldmanR K Laros
Mar 1, 1986·American Journal of Obstetrics and Gynecology·J D GoldbergR L Berkowitz
Aug 1, 1995·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Y Y TanG S Yeo

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Citations

Apr 3, 2010·BMJ : British Medical Journal·Karl HorvathAndrea Siebenhofer
Dec 1, 2006·International Breastfeeding Journal·Siranda TorvaldsenDavid A Ellwood
Mar 1, 2012·Wiley Interdisciplinary Reviews. Cognitive Science·Susan Schneider, Matthew Katz
Sep 1, 2010·Wiley Interdisciplinary Reviews. Cognitive Science·Georges Rey
May 5, 2017·The Cochrane Database of Systematic Reviews·Julie BrownCaroline A Crowther
Oct 31, 2017·The Cochrane Database of Systematic Reviews·Puvaneswary RamanCaroline A Crowther
Jul 10, 2009·The Cochrane Database of Systematic Reviews·Nisreen AlwanJane West

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